15-year-old atrial pacing lead displaced into pulmonary artery - the consequences of prolonged observation.
 
More details
Hide details
1
1st Department of Pediatrics, District Hospital Kielce, Poland
2
Acute Cardiac Care Unit, Acute Cardiac Care Unit, District Hospital, Kielce, Poland
3
Department of Cardiology, Medical University of Lublin, Poland
Publish date: 2017-01-04
 
Heart Beat 2016;1:28–30
KEYWORDS:
TOPICS:
ABSTRACT:
We present a case of lead-related infective endocarditis (LRIE) in a patient with an old atrial lead free floating in pulmonary artery. Before transvenous lead extraction (TLE) venography was performed showing significant occlusion in major chest veins on the left side. Using pig-tail cathether displaced lead was captured and replaced into superior vena cava, where it was grasped by lasso and removed with Byrd dilator sheath. Due to patient's pace dependency temporary femoral pacing was introduced at the time of extraction. Other leads were extracted without any technical difficulties. There were no periprocedural complications.
CORRESPONDING AUTHOR:
Maciej Polewczyk   
Acute Cardiac Care Unit, Acute Cardiac Care Unit, District Hospital, Kielce, Poland, ul. Grunwaldzka 45, 25-736 Kielce, Poland
eISSN:2543-6333